Topics Related to Medicaid Direct

As of April 1, 2023, all NC Health Choice beneficiaries with active eligibility will be moved to Medicaid.

Home Health Care Services: Soft Launch April 1, 2023 through June 30, 2023; Provider Selection of Electronic Visit Verification Vendor

This report describes findings from the second assessment of provider experience and satisfaction with the NC Medicaid program.

Policy updates for NC Medicaid Direct beneficiaries in the Obstetrical Services and Pregnancy Management Program policies, retroactive to Jan. 1.

Note: This bulletin is replaced by NC Health Choice Move to Medicaid: Timeline for Claims Adjudication and Process for Prior Approvals.

NC Medicaid is implementing new Managed Care Nursing Facility rates to support nursing facility providers and NC Medicaid members.

Key milestones, playbook updates, verifying eligibility, provider reverification, provider records, behavioral health services transition and more

The adjudication of some prior approvals will be performed by GDIT Fiscal Agent Operations Reviewers instead of clinical reviewers at NC Medicaid

Evaluates the impact of the North Carolina Medicaid Transformation on primary care and obstetrics/gynecology (Ob/Gyn) practices

A delay in identifying individuals in NCTracks as dually eligible for Medicare and Medicaid has been discovered.